Chiasson P M, Henshaw J D, Roy P D
Department of Surgery, Dalhousie University, Halifax, NS.
Can J Surg. 1994 Aug;37(4):285-8.
To determine the role of traditional "generalist" general surgeons in Nova Scotia.
An anonymous mail survey.
The Province of Nova Scotia.
Sixty-two active general surgeons listed on the Nova Scotia Provincial Medical Board Registry.
A questionnaire to compare the practice patterns of community surgeons, regional surgeons and tertiary care surgeons.
The availability of non-general-surgery subspecialty colleagues in the hospital setting, the extent of non-general-surgery subspecialty practices of the participating surgeons, the types of procedures they commonly perform and the adequacy of their general surgery training to meet their present practice requirements.
The questionnaire response rate was 79%. Community surgeons had few non-general-surgery subspecialty colleagues, and the majority maintained broad "generalist" general surgical practices. Regional surgeons had more non-general-surgery subspecialty colleagues, but many still had surgical practices that included the non-general-surgery subspecialties. Tertiary surgeons had adequate non-general-surgery subspecialty colleagues and maintained narrow general surgery practices.
In Nova Scotia, "generalist" general surgeons presently provide non-general-surgery subspecialty services in both regional and community hospital settings.
确定传统“通才型”普通外科医生在新斯科舍省所起的作用。
一项匿名邮件调查。
新斯科舍省。
新斯科舍省省级医疗委员会登记在册的62名在职普通外科医生。
一份用于比较社区外科医生、地区外科医生和三级医疗外科医生执业模式的问卷。
医院环境中普通外科以外亚专业同事的可获得性、参与调查的外科医生普通外科以外亚专业执业的程度、他们通常进行的手术类型以及他们普通外科培训满足当前执业要求的充分性。
问卷回复率为79%。社区外科医生的普通外科以外亚专业同事较少，大多数人保持广泛的“通才型”普通外科执业。地区外科医生有更多普通外科以外亚专业同事，但许多人仍有包括普通外科以外亚专业的手术执业。三级医疗外科医生有足够的普通外科以外亚专业同事，并保持狭义的普通外科执业。
在新斯科舍省，“通才型”普通外科医生目前在地区和社区医院环境中都提供普通外科以外亚专业服务。
